What is mild mitral and tricuspid regurgitation of the heart?

Written by Chen Tian Hua
Cardiology
Updated on April 08, 2025
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Mild regurgitation of the mitral and tricuspid valves means that during the contraction phase of the heart, the mitral and tricuspid valves cannot close completely, resulting in a slight imperfection in closure. This causes a small amount of blood to flow back from the ventricle into the atrium. Since the closure imperfection is minor, the volume of the regurgitating blood is not significant. If not accompanied by any organic disease, this type of regurgitation typically does not lead to adverse outcomes and does not require treatment. However, if the patient has an organic disease, especially organic heart disease, it is crucial to actively control the related diseases to prevent aggravation, which could worsen the condition of mitral and tricuspid valves regurgitation, leading to more severe regurgitation.

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The causes of embolism in mitral stenosis

Mitral stenosis in patients can lead to embolism due to the tendency of mitral stenosis to cause enlargement of the left atrium. The enlargement of the left atrium is a key anatomical factor leading to atrial fibrillation and cardiac arrhythmias. When atrial fibrillation occurs, it is easy for blood clots to form in the left atrium, especially in the area of the left atrial appendage. When a blood clot breaks off, it can travel with the bloodstream and cause occlusion of the corresponding blood vessels, resulting in embolic complications. Timely surgical intervention to treat mitral stenosis can effectively prevent complications such as atrial enlargement and blood clots caused by mitral stenosis.

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Written by Di Zhi Yong
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Mild to moderate mitral stenosis, how long?

If the patient has mitral stenosis which is mild and progressing to moderate, it will take a year or even longer. Because if mild cases are aggressively managed with medication, it can slow the further progression of the disease. Mitral stenosis is a type of rheumatic heart disease or heart valve disease, mainly causing symptoms such as palpitations, chest tightness, and shortness of breath, with severe cases also presenting with swelling of the lower limbs. For mild mitral stenosis, it is necessary to have regular hospital check-ups, particularly to actively prevent upper respiratory tract infections, as sometimes these conditions can occur after catching cold, and actively controlling respiratory inflammation can improve symptoms.

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Written by Chen Tian Hua
Cardiology
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Can mitral and tricuspid regurgitation heal by themselves?

Mitral and tricuspid valve regurgitation generally cannot heal on their own. Of course, different cases of mitral and tricuspid regurgitation require different clinical treatments. Generally speaking, if it is only mild mitral and tricuspid regurgitation, no special treatment is needed. If it is caused by organic lesions in the mitral and tricuspid valves themselves, causing severe regurgitation, then surgical treatment is necessary to correct the organic abnormalities of the valves. If the regurgitation of the tricuspid and mitral valves is caused by diseases that lead to an enlarged heart and dilation of the valve annulus, it is necessary to actively treat these diseases to effectively control the condition and prevent it from worsening.

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Written by Li Hai Wen
Cardiology
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Is severe mitral valve regurgitation serious?

Mitral valve regurgitation can be mild, moderate, or severe, with severe mitral valve regurgitation being the most serious. Over time, severe mitral valve regurgitation can cause enlargement of the heart and a decreased heart pumping function, eventually leading to symptoms of heart failure. Patients may experience difficulty breathing, shortness of breath, fatigue, and other symptoms. Additionally, there may be swelling in both lower limbs. When such symptoms occur, it is necessary to take diuretic medications under the guidance of a doctor to reduce heart strain, such as furosemide or spironolactone. If necessary, digoxin may be taken to strengthen the heart and improve symptoms of heart failure. After stabilization, a mitral valve replacement or repair surgery may be scheduled.

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Written by Li Hai Wen
Cardiology
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What causes mitral regurgitation in young people?

Mitral regurgitation is a phenomenon caused by incomplete closure of the mitral valve. From a medical perspective, when the left ventricle contracts, the mitral valve should be closed to prevent blood from flowing back into the left atrium, ensuring that the blood in the left ventricle can be fully pumped into the aorta to meet the needs of the body's tissues and organs. If there is incomplete closure of the mitral valve, the blood in the left ventricle will flow back into the left atrium, affecting the pumping efficiency of the left ventricle. If it is a mild closure insufficiency, generally it is not a big problem, but if it is moderate to severe, it often easily triggers the onset of heart failure.